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Claim Processor Jobs in Melrose Park, IL

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  • Commercial Claims Coordinator

    Homelink Corporation 4.1company rating

    Claim Processor Job 19 miles from Melrose Park

    Our Commercial Claims Coordinator role is responsible for locating commercial options and securing accommodations. Additionally, this role leads with the facilitation of onsite and pack out claims. Essential Responsibilities: Collaborating with National Account Managers, operational teammates, and Homelink leadership to develop strategies and executional milestones to incrementally grow business. Facilitate commercial, onsite, and pack out claims. Handle communication with policyholders and vendors. Present options for approval to the National Account Manager for adjuster approvals. Generate leads, complete warm calls, and participate in virtual meetings. Contact vendor partners to confirm availability and to ensure temporary accommodations meet policyholder needs. Review, interpret and negotiate lease terms/contracts, pricing, fees, and deposits. Process required paperwork for temporary accommodation options. Complete fair rental value requests. Extend accommodations and facilitate relocations for existing policyholders. Update internal databases, complete necessary paperwork, and communicate details to operational teammates involved with each claim. Maintain records of commercial, onsite, and pack out procedures and ensure process is documented. Responsible for revisions to documents. Develop strategies to optimize vendor partnerships, negotiate favorable terms, and enhance profitability through cost-effective solutions and service excellence. Track and maintain appropriate information regarding all claims in the company database for internal use. Apply critical thinking to provide solutions to appropriately address each policyholders' individual needs. Provide an immediate response and support for a high volume of incoming calls. Assist with special projects on an as needed basis at the directive of department manager. Support and assist with operational needs to provide backup when needed. Provide superior customer service to policyholders and vendor partners. Support and provide leadership of Homelink's companywide and department initiatives. Embody Homelink's culture and service standards. Job Requirements: Bachelor's Degree in related field, strongly preferred. 3-5 years' experience in commercial property management, real estate, leasing, temporary housing, or a similar field. At least one (1) year in supervisor/team lead role mentoring peers and delegating tasks. Experience in insurance/furniture/ALE industry a plus. Professional verbal and written communication skills. Proficient in MS Outlook, Office, Word & Excel. Excellent attention to detail. Strong orientation toward customer/client service. Good organization and planning skills. Flexible work schedule. Some evenings and weekends may be required. Explore the full posting at ************************************************************************************************************************ Id=9***********7_2624&job Id=499808&lang=en_US&source=EN
    $32k-39k yearly est. 5d ago
  • Specimen Processor

    Pride Health 4.3company rating

    Claim Processor Job 23 miles from Melrose Park

    Pride Health is hiring a Specimen Processor to support our client's medical facility, which is based in Lake Forest, IL. This is a Contract job with a possible extension opportunity and a great way to start working with a top-tier healthcare organization! Location: Lake Forest, IL 60045 Schedule: 7 am-3:30 pm M-F (40hrs/week) Pay Range: $15.00/hr-$18.00/hr (Offered pay rate will be based on education, experience, and healthcare credentials.) The rate is based on years of DIRECT EXPERIENCE as listed in the resume Job Description: The SPT is responsible for general support functions within the Specimen Processing Department. This position requires a data entry background. Functions performed may include but are not limited to A-station, pre-sort, pickup and delivery of processed specimens to the laboratory, imaging/microfilming, centrifugation, and aliquoting. All functions must be performed with confidence, accuracy, and in a timely manner. Job is complex and requires that employees have good organization skills and can learn and understand specimen types related to test(s) ordered by clients. The SPT must have to the ability learn and understand the compliance regulations related to test ordering which may change daily. The department is a production environment, with an emphasis on productivity/quality standards and departmental completion times. The position requires data background with abilities to enter 6,000 alphanumeric keystrokes/hour. Works in a biohazard environment, practicing good safety habits. Able to sit or stand for long periods. Communicates effectively with all levels of staff. Adheres to core values, safety, and compliance policies and procedures. Demonstrates flexibility and ability to adapt to change. Qualifications: HS diploma or equivalent. Required Knowledge: Basic understanding of computers with a preferred knowledge of laboratory testing and/or laboratory specimen processing. Work Experience: No experience required but previous laboratory experience preferred. Medical background preferred which includes medical terminology applicable to a clinical laboratory. Previous hospital laboratory experience is a plus but not required. Previous experience in a production environment preferred. Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. About Pride Health Pride Health is Pride Global's healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010. As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty. Interested? Apply today! Schedule a call with me here ***********************************************
    $15-18 hourly 20h ago
  • Claims Supervisor

    First Chicago Insurance Company 4.3company rating

    Claim Processor Job 10 miles from Melrose Park

    The Casualty Claims Supervisor will be responsible for the direct supervision of the Casualty Claims unit. Scope of the position includes ensuring compliance with State mandated claims handling guidelines and assuring proper investigation and conclusions of claims. Monitor production, staff development and the quality of files assigned to the Unit. Seeking local candidates to work in the Bedford Park location, approximately one mile south of Chicago Midway Airport. Hybrid Opportunities Available. DUTIES & RESPONSIBILITIES: Lead, motivate, and provide direction to the Casualty Unit Conduct file and diary reviews for the purpose of monitoring adjuster's work and to assure appropriate documentation is available, fair claim settlement practices are followed, and company quality standards are maintained. Place appropriate authority level on claim files based upon investigation of facts and approve settlement checks within authority. Review reports, design and support the implementation of procedures which improve claim settlement and customer service levels, and ensure that desired quality and quantity levels are maintained. Oversee the implementation and monitoring of procedures to assure effectiveness and compliance. Determine training needs of the department and establish and participate in programs to ensure training needs of personnel and processes. Work with staff relative to any suits drawn on cases with respect to litigation handling. Develop and manage a cost effective defense strategy. Identify Systems issues/problems/suggestions for enhancements. Manage the administrative functions of the unit which include: Review, provide direction and assign new losses Screening and selecting candidates Setting performance objectives and monitoring performance results Conduct performance appraisals Complete reports as necessary Daily review of files for payment approvals over adjuster authority and the transfer of files to appropriate areas (SIU, Litigation, Total Loss, Subrogation, etc.) Conduct unit meetings Review and respond to Department of Insurance complaints Review and direct claim activity on customer inquiries Complete special projects as assigned. QUALIFICATIONS REQUIRED: 5+ years auto liability claims and supervisory experience. 5+ years managing litigated personal auto files. Strong technical and administrative background in auto claims handling. Ability to work independently on technical and administrative matters in accordance with company policy and procedures. Good leadership, training and development skills. Excellent communication, interpersonal and organizational skills. Ability to pass written examinations where required by state statutes to become a licensed claim.
    $40k-49k yearly est. 15d ago
  • Commissions Processor - Real Estate

    Properties 4.8company rating

    Claim Processor Job 10 miles from Melrose Park

    Chicago's leading real estate brokerage firm is looking to add to its dynamic, growing team. The ideal candidate has a strong work ethic, is self-motivated, and enjoys a high-energy, collaborative, fast-paced environment. To be successful, you will need to excel at multi-tasking, managing a challenging workload, and meeting quick deadlines. The role will process agent payouts and accurately manage purchase and lease transaction processing from the time a pending deal is signed until the deal closes and commissions are paid out. This role also provides support to agents and office personnel. Job Duties: Key point of contact for real estate agents for any questions or issues related to pending and closed transactions Review and approve all necessary paperwork for each sale/rental transaction, provide feedback to agents regarding missing or incomplete documentation Accurately enter new deals into LoneWolf, the company's accounting/operations system Process earnest money for real estate transactions; submit requests for earnest money disbursement and request wire payments to ensure timely transfer of funds to closings Accurately calculate the commissions due to the company Respond to all agent requests in a timely fashion Assist in the formulation and implementation of policies & procedures Other duties as assigned. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Experience in similar role is ideal Experience in real estate transactions preferred
    $31k-38k yearly est. 20h ago
  • Claims Examiner - MPL

    Hiscox

    Claim Processor Job 10 miles from Melrose Park

    Job Type: Permanent Build a brilliant future with Hiscox Does researching and analyzing a complex book of claims light a fire inside you? If so, why don't you apply for the Claims Examiner position! About the Hiscox Claims team: The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling. The role: Superior claims service is central to our corporate culture and brand. Claims Examiners are an integral part of our in-house claims servicing team. Claims Examiners are responsible for analyzing policy coverage, drafting coverage letters, managing, monitoring and resolving Professional Liability claims asserted against our customers. Superior claims service is central to our corporate culture and brand. What you'll be doing as the Complex Claims Specialist: Key Responsibilities: To perform all core aspects of in-house claims management, including but not limited to: Review and analyze Professional Liability submissions for coverage Draft coverage letters to insureds Strategize to drive favorable claim resolutions Analyze liability, risk, and exposure and accurately reserve claim files Evaluate and pay losses Evaluate and settle claims Meet Best Practices for claim handling and document claim file accordingly Our must-haves: Excellent written communication skills 2-5 years of experience direct handling of third party Professional Liability claims JD from an ABA accredited law school or litigation paralegal experience may be considered Desire to provide excellent customer service Ability to work autonomously and meet deadlines Active insurance adjuster's license B.A./B.S degree from an accredited College or University preferred In-house claims handling experience Please note that this position is hybrid and requires working two (2) days in office weekly. Position can be based in the following office locations: Atlanta, GA Chicago, IL Hartford, CT Manhattan, NY Salary range: $70k-$85k Hiscox Values At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values. Courage: Do the right thing however hard Quality: World class where it matters Integrity: True to our word Excellence in Execution: Consistent, timely, efficient delivery Human: Firm, fair and inclusive What Hiscox USA Offers 401(k) with competitive company matching Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care) Company paid group term life, short- term disability and long-term disability coverage 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days Paid parental leave 4-week paid sabbatical after every 5 years of service Financial Adoption Assistance and Medical Travel Reimbursement Programs Annual reimbursement up to $600 for health club membership or fees associated with any fitness program Company paid subscription to Headspace to support employees' mental health and wellbeing 2023 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness program Dynamic, creative and values-driven culture Modern and open office spaces, complimentary drinks Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation About Hiscox As an international specialist insurer we are far removed from the world of mass market insurance products. Instead we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things. We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions. Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places. Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch. About Hiscox US Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group. Today, Hiscox USA has a talent force of about 420 employees mostly operating out of several major cities - New York, Atlanta, Chicago, Hartford and Scottsdale. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism. You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance) #LI-AJ1 Work with amazing people and be part of a unique culture
    $70k-85k yearly 3d ago
  • Claims Examiner

    Banner Personnel Service 3.9company rating

    Claim Processor Job 6 miles from Melrose Park

    Temp To Full-Time We are looking to hire multiple Claims Examiners in our Oakbrook Terrace location. We are looking for people to start in the next 2 weeks. ESSENTIAL DUTIES AND RESPONSIBILITIES Review and accurately input all information and supporting documentation, determine eligibility, and calculate retirement and death claims and voluntary additional benefits. Calculate and prepare manual benefit estimates. Contact other departments to obtain information, request corrections in an effort to resolve most internal conditions preventing payment of benefits. Contact employers, employees, beneficiaries, and financial institutions to resolve most external conditions preventing payment of benefits. Provide customer service to employers, employees, beneficiaries, and other IMRF departments by answering questions concerning procedures and benefits, either in writing or by telephone. Maintain a work in progress that meets service goals. Process Voluntary Additional Refund applications and Separation Refund applications as a back-up to the Staff Assistant as assigned. Review various internal reports including the suspended benefit report, the un-confirmed death report and the cash receipts report for items to be researched and resolved on a monthly basis. Other duties may be assigned. EDUCATION and/or EXPERIENCE Associates degree (AA) or equivalent from two-year college or technical school; or two years related experience and/or training; or equivalent combination of education and experience. $48k-$51k/year DOE.
    $48k-51k yearly 60d+ ago
  • Claims Examiner

    Christian Brothers Services 3.8company rating

    Claim Processor Job 21 miles from Melrose Park

    Job Details ROMEOVILLE, ILDescription Join us at Christian Brothers Services, where our mission is to support and serve the Catholic Church and its ministries across the nation. We're seeking an analytical and detail oriented professional to join our team as a Claims Examiner. This position is responsible for the timely and accurate adjudication of claims in accordance with established procedures and provisions of the benefit plans. If you are passionate about making a meaningful impact while leveraging your knowledge and skills, we invite you to be part of our dedicated team. Come be a catalyst for positive change with us at Christian Brothers Services! Position Responsibilities: Examine medical/dental/vision claims with responsibility for efficient, accurate evaluation of data and initiation of benefit payment. Follow up/follow through on pended claims by evaluating all new and existing supporting documentation for determination of benefits within one week of receipt. Collaborate with the Customer Care department to resolve phone inquiries about claims within 24 to 48 hours for urgent issues and one week for standard issues. Communicate via telephone or email with members, employers, care providers, and service providers regarding status/circumstances for the resolution of claims. Exercise good judgment and in a timely manner when determining escalation of a claim to a Claims Team Lead, Supervisor or internal nurse review (HCR). Perform other claim department duties related to adjudication as assigned Help identify any system of workflow performance issues Twice daily monitoring of individual and departmental workload through computerized reports Benefits: 403(b) 403(b) matching Pension Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance Qualifications High School diploma minimum of two to five years' claim adjudication experience in a PPO environment Skills: Good analytical skills and a working knowledge of medical coding and terminology previous Trizetto processing system experience helpful Must be familiar with standard concepts, practices, and procedures related to medical billing Familiar with MS applications, including Word, Excel, and basic webpage navigation Accurate calculator skills and a minimum typing speed of 40 wpm required Must be self motivated, dependable, and detail oriented with excellent communications and problem solving skills
    $25k-41k yearly est. 40d ago
  • Claims Examiner Level 1

    Local 4 SEIU Health & Welfare Fund

    Claim Processor Job 10 miles from Melrose Park

    SEIU Healthcare IL Benefit Funds is a dynamic benefits administration organization committed to providing the highest quality health and retirement benefits in the most financially responsible manner, while always acting in the best interest of the union members. The Fund serves over 20,000 union workers in the Nursing Home, Home Care, Child Care and Personal Assistant industries with the delivery of health and pension benefits. Our employees epitomize the Fund's core values of quality service, interdependence, effectiveness, and accountability, and forge an alliance with one another to carry out our shared mission and common agreements for those we serve. Position Summary: The Claims Examiner, Level 1, is responsible for analyzing, processing, and auditing PPO, HMO and other medical claims for plan participants who are union members of SEIU Healthcare Illinois and Indiana (HCII). Claims Examiners are able to handle and accurately adjudicate assigned medical claims following established guidelines and industry best practices with a minimal amount of supervision. This position must maintain excellent working relationships with peers in the Claims Department and interdepartmentally, vendors, medical providers, plan participants and all key stakeholders related to the Fund Office. Claims Examiner, Level 1 will be responsible for the following: Key Duties and Responsibilities: Process medical and facility claims in an accurately and timely manner; ensure all necessary information is present including accident details/subrogation form, other insurance information, referral and/or pre-certification, repricing, auditing, and all other information needed to properly process the claim Review and adjudicate claims for compliance with contract terms, benefit coverage, and regulatory requirements. Review provider reconsiderations and reprocess the claim or generate letter(s) in response to the request. Respond to inquiries from coworkers or other departments via email or a ticketing system within three (3) business days. Apply appropriate pricing and coding standards (e.g., CPT, ICD-10, System Benefit codes) and reimbursement methodologies to ensure accurate claim payment. Process check-run cycles and check run audits when assigned. Perform audits of auto-adjudicated claims when assigned. Attend meetings with vendors, providers, partnering organizations or any other meeting as assigned. Identify and report system issues, test and troubleshoot system configuration, completing reports, and run other system tasks or reports as assigned. Monitor pended claims to ensure unnecessary delays are avoided. Monitor claims inventory to assure consistent processing time across the plans. Correspond to providers, members and external vendors via mail, email or phone. Attend and participate in various meetings, including monthly All Staff meetings, department meetings, training sessions, task force or committee meetings, and other meetings as deemed appropriate to share, discuss, and solution for question or error trends, as well as identify potential process improvements. Create one-on-one (1:1) agendas with the Claims Supervisor using the Purpose, Outcome and Process (POP) Model and keeping thorough notes for each meeting. Back-up all duties of the Claims Clerk as needed. Privacy and Security Responsibilities: This position requires employees to handle Personal Identifiable Information (PII) and Protected Health Information (PHI) for our members. You will be responsible and accountable for maintaining the confidentiality, integrity, and availability of all PII and PHI. Report any suspected HIPAA violation or breach to our HIPAA Privacy and Security Officer. Requirements Education Requirements: High School diploma or GED equivalent Associate degree or higher in Health Care, Business Administration, or similar field is preferred Job Requirements: Minimum of five (5) years of experience in medical claims examination, preferably in a managed care operation or insurance setting. Meet or exceed 98% financial and 95% procedural for quality and production standards. Knowledge and understanding of the health care industry, including medical claim processing, subrogation, ICD-10 Diagnosis Codes, CPT Procedures Coding, HCPC Codes, HCFA 1500, and UB-02 claim forms. Strong analytical skills with the ability to interpret complex medical documentation and make sound claim decisions. Excellent attention to detail and accuracy in data entry and claim adjudication. Knowledge of healthcare regulations, compliance requirements, and industry standards related to claims processing. Proficient use of desktop computers, laptop computers, printers, copiers, scanners, fax and other office equipment. Ability to type 35 words per minute accurately. Proficient skills, intermediate to expert level, in Microsoft Office Suite (Word, Excel, Access, Power Point, Visio, and Outlook) Excellent written and verbal communication skills Excellent interpersonal and customer services skills required Ability to develop and maintain positive working relationships with both internal and external stakeholders Strong analytical mindset Ability to organize and prioritize task Ability to demonstrate teamwork and work independently Ability to meet deadlines Exercise clear and concise judgment Ability and willingness to assist in special projects and handle multiple tasks Preferred Skills: Taft-Hartley experience Knowledge of the Fund's benefit administration system (Basys/Bridgeway) Experience with project management software, such as Smartsheet Experience working in a hybrid environment, in-person and remote Experience with virtual conference software (Teams and Zoom) Career Development & Continuing Education Opportunities: Yes Benefits: SEIU Healthcare IL Benefit Funds offers a comprehensive health benefits (medical, dental and vision coverage) for employees and eligible dependents, including no employee premium option for employee only; competitive compensation; generous holidays and PTO policies; and a pension retirement plan. Diversity creates a healthier atmosphere: SEIU Healthcare IL Benefit Funds is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. The SEIU Healthcare IL Benefit Funds vision is to create a more just and equitable society that fosters a lifetime of quality healthcare and financial security for all. We hope that our social justice values and the responsibility we take to operate a socially conscious organization aligns with your professional desire to contribute and serve with purpose.
    $27k-44k yearly est. 60d+ ago
  • Claim Examiner-Casualty (hybrid, Chicago)

    Peoriapromise

    Claim Processor Job 10 miles from Melrose Park

    We're not like other insurance companies. From our specialty products to our business model, our culture to our results - we're different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn't just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us. **RLI is a company with a strong, successful background. For decades, our financial track record has been stellar - a testament to our culture and validation of our reputation as an excellent underwriting company. Our insurance subsidiaries are rated A+ ā€œSuperiorā€ by AM Best company and A ā€œStrongā€ by Standard & Poor's. Check out our strong financial track record .** **************Principal Duties & Responsibilities************** **-Proactively handle general liability claims involving bodily injury and property damage to achieve optimum results by resolving claims fairly, expeditiously, and economically.** **-Assess and analyze coverage issues on claims and suits, and issue appropriate coverage letters and documentation.** **-Complete timely investigation of claims and post appropriate reserves.** **-Identify and pursue risk transfer opportunities, including dealing with contractual indemnity and additional insured issues.** **-Handle claims in accordance with RLI's Best Practices.** **-Resolve claims in timely manner to an effective outcome.** **-Travel to and attend mediations and/or settlement conferences as warranted.** **************Education & Experience************** **-Typically requires a bachelor's degree in business administration, insurance, or a related field.** **-4+ years of relevant legal or insurance related experience.** **********Knowledge, Skills, & Competencies********** **-Meaningful experience handling liability claims involving bodily injury and property damage with significant exposure under both primary and excess policies (experience with construction/contractors claims preferred).** **-Ideal candidate will have superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims.** **-Proactive investigation, risk transfer, claim handling, attorney management, and claims resolution are essential.** **-Superior writing and communication skills to work effectively with insureds, claimants, underwriters, other team members, and upper management.** ****Personal & Professional Growth**** **RLI encourages its employees to pursue professional development work in insurance and job-related areas. We make a commitment to employees to provide educational opportunities that help them enhance their skills and further their career advancement. RLI fosters a true learning culture and encourages professional growth through insurance courses, in-house training and other educational programs. RLI covers the cost for most programs and employees typically earn a bonus upon successful completion of approved courses and certifications. Our personal and professional growth benefits include:** * **Nationwide employment opportunities** * **Training & certification opportunities** * **Tuition reimbursement** * **Education bonuses** ****Diversity & Inclusion**** **Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers. We actively support, and participate in, initiatives led by the American Property Casualty Insurance Association that aim to increase diversity in the insurance industry. Cultivating an exceptional and diverse workforce to deliver excellent customer service reinforces our culture and is a key to achieving superior business results.** **RLI is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.** ****Total Rewards**** **At RLI, we're all owners. We hire the best and the brightest employees and allow them to share in the company's success through our Total Rewards. With the Employee Stock Ownership plan at its core, the Total Rewards program includes all compensation, benefits and perks that come with being an RLI employee.** ** **Financial Incentives**** * **Employee stock ownership plan (ESOP)** * **401(k) - automatic 3% company contribution** * **Annual discretionary 401k and ESOP profit-sharing contribution (up to 15% of base salary)** * **Annual bonus plans** ** **Work & Life**** * **Paid time off (PTO) and holidays** * **Paid volunteer time off (VTO) to support our communities** * **Parental and family care leave** * **Flexible & hybrid work arrangements** * **Fitness center discounts and free virtual fitness platform** * **Employee assistance program** ** **Health & Wellness**** * **Comprehensive medical, dental and vision benefits** * **Flexible spending and health savings accounts** * **2x Base Salary for Group Life and AD&D insurance** * **Voluntary life insurance for purchase** * **Critical Illness & Accident insurance** * **Short-term and long-term disability benefits**
    $27k-44k yearly est. 27d ago
  • Warranty Claims Specialist

    Parts Town 3.4company rating

    Claim Processor Job 8 miles from Melrose Park

    at Parts Town Warranty Claims Specialist See What We're All About As the fastest-growing distributor of restaurant equipment, HVAC and residential appliance parts, we like to do things a little differently. First, you need to understand and demonstrate our Core Values with safety being your first priority. That's key. But we're also looking for unique enthusiasm, high integrity, courage to embrace changeā€¦and if you know a few jokes, that puts you on the top of our list! Do you have a genius-level knowledge of original equipment manufacturer parts? If not, no problem! We're more interested in passionate people with fresh ideas from different backgrounds. That's what keeps us at the top of our game. We're proud that our workplace has been recognized for its growth and innovation on the Inc. 5000 list 15 years in a row and the Crain's Fast 50 list ten times. We are honored to be voted by our Chicagoland team as a Chicago Tribune Top Workplace for the last four years. If you're ready to roll up your sleeves, go above and beyond and put your ambition to work, all while having some fun, let's chat - Apply Today Perks Parts Town Pride - check out our virtual tour and culture! Quarterly profit-sharing bonus Hybrid Work schedule Team member appreciation events and recognition programs Volunteer opportunities Monthly IT stipend Casual dress code On-demand pay options: Access your pay as you earn it, to cover unexpected or even everyday expenses All the traditional benefits like health insurance, 401k/401k match, employee assistance programs and time away - don't worry, we've got you covered. The Job at a Glance Our Warranty Claims Specialist (internally known as Warranty Wizards) support our customers and manufacturers by providing an exceptional customer experience throughout the entire warranty process. Working closely with the customer support team and Fulfillment Center, this specialist is responsible for ensuring all warranty claims are submitted promptly. If you're courageous and it's your destiny to become a Warranty Wizard, apply today! A Typical Day Working with customer support team, customers and Manufacturers on warranty process and transferring that information to a variety of different forms and portals for payment Generate account adjustments and warranty invoices in the company's ERP system (Syspro) Learn and comprehend defective part process to address customer and manufacturer questions Transfer tech service calls and corresponding invoice into warranty websites Interpret and process warranty and defective part documents Produce monthly Warranty spreadsheets in Excel Deliver exceptional customer service through phone calls and e-mails to internal teams, our customers, and our manufacturer partners To Land This Opportunity You have experience using Excel, Esker, Sales Force and Syspro You possess stellar customer service, high attention to detail, data entry, and organizational skills You enjoy working independently to achieve weekly and monthly deadlines You have strong data entry, communication, and interpersonal skills About Your Future Team As an important part of our culture, we take huge pride in having fun. At Parts Town we are passionate about celebrating anniversaries, enjoy team lunches, giving appreciation, a memorable first day warm welcome, decorate desks and most importantly, we love to spice it up by playing our teams playlists!
    $29k-44k yearly est. 8d ago
  • Claims Status Specialist (GF)

    Claims Status Specialist GF

    Claim Processor Job 6 miles from Melrose Park

    General Description TVG-Medulla, LLC provides support and services to two comprehensive chiropractic care companies, Chiro One Wellness Centers and MyoCore Personalized Pain Care, both industry leaders in evidence-based, patient outcomes-centered care. The Claims Status Specialist will maximize insurance collections by investigating claim status on assigned accounts and performing appropriate follow up actions to ensure payment of claims. Essential Functions and Responsibilities Investigate status of insurance claims on assigned accounts by reviewing mail/EOBs, insurance websites, calling insurance companies, etc. Facilitate collections of balances due by performing the appropriate follow up actions once claim status is determined. Review claims submissions for errors and update/correct erroneous claims. Maintain patient ledgers on assigned accounts to reflect accurate balances due. Communicate with clinical teams regarding information requests and claim status updates and maintain follow up as needed. Maintain claim status log with detail of status and actions taken on assigned accounts. Ensure all communication is clear, professional, and branded. Notify management of any strange scenarios, possible compliance concerns or recurring issues. Minimum Qualifications Proficient computer and data entry skills Excellent written and verbal communication Basic knowledge of insurance benefits Familiarity in Microsoft Office (primarily Outlook, Excel, and Word) Preferred Qualifications Two or more years of insurance, billing, or related experience Job Competencies Ability to remain calm and professional during difficult situations Excellent written and verbal communication skills Ability to multi-task and prioritize Solution-oriented approach to problem-solving Disclaimer All team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.
    $30k-51k yearly est. 60d+ ago
  • Claims Status Specialist (GF)

    Myocore

    Claim Processor Job 6 miles from Melrose Park

    **General Description** TVG-Medulla, LLC provides support and services to two comprehensive chiropractic care companies, Chiro One Wellness Centers and MyoCore Personalized Pain Care, both industry leaders in evidence-based, patient outcomes-centered care. The Claims Status Specialist will maximize insurance collections by investigating claim status on assigned accounts and performing appropriate follow up actions to ensure payment of claims. **Essential Functions and Responsibilities** * Investigate status of insurance claims on assigned accounts by reviewing mail/EOBs, insurance websites, calling insurance companies, etc. * Facilitate collections of balances due by performing the appropriate follow up actions once claim status is determined. * Review claims submissions for errors and update/correct erroneous claims. * Maintain patient ledgers on assigned accounts to reflect accurate balances due. * Communicate with clinical teams regarding information requests and claim status updates and maintain follow up as needed. * Maintain claim status log with detail of status and actions taken on assigned accounts. * Ensure all communication is clear, professional, and branded. * Notify management of any strange scenarios, possible compliance concerns or recurring issues. **Minimum Qualifications** * Proficient computer and data entry skills * Excellent written and verbal communication * Basic knowledge of insurance benefits * Familiarity in Microsoft Office (primarily Outlook, Excel, and Word) **Preferred Qualifications** * Two or more years of insurance, billing, or related experience **Job Competencies** * Ability to remain calm and professional during difficult situations * Excellent written and verbal communication skills * Ability to multi-task and prioritize * Solution-oriented approach to problem-solving **Disclaimer** All team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.
    $30k-51k yearly est. 25d ago
  • Auto Liability Claims Specialist-Oak Brook

    Iamic

    Claim Processor Job 6 miles from Melrose Park

    First Chicago Insurance Company (FCIC) Oak Brook, IL If you are an experienced **Non-Standard Auto** **CLAIMS PROFESSIONAL** (with many years of auto and especially nonstandard auto related experience) we'll make sure you are **COMPENSATED AS A PROFESSIONAL!!** **We are Growing!** **Claims Office Open in Oak Brook!** We are First Chicago Insurance Company! We currently have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we have a new Claims office in Oak Brook, IL! **We are seeking experienced Non-Standard Auto Liability Claims Specialist to join our new office in Oak Brook!** This talented individual must possess previous experience in the investigation, determination of coverage, prompt evaluation of both First- and Third-Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims. **DUTIES & RESPONSIBILITIES:** * Review and determine course of action on each file assigned, utilizing technical knowledge and experience for the purpose of supporting final disposition of a loss * Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage liability, status and damages that are applicable for each claim * Honor/decline/negotiate first and third-party liability claims upon completion of coverage/policy investigation and analysis of damages and liability * Work directly with internal and external customers to develop evidence and establish facts on assigned claims * Organize, plan and prioritize work activities to keep up with current assignments and to ensure prompt conclusion of claims * Prepare and present claim evaluations for the appropriate settlement authority * Notify the Underwriting Department of any adverse information uncovered in the course of the investigation * Familiarity with unfair claim practices in states where we do business * Conduct business with vendors in a professional manner while maintaining a reasonable expense factor and upholding the company's reputation for quality service * Provide customer service both to internal and external customers * Handle other duties as assigned **QUALIFICATIONS REQUIRED:** * Minimum 2-3 years previous auto insurance or other auto related experience A MUST! * Non-Standard Auto claims handling experience a plus! * Excellent analytical, organizational, interpersonal and communication (verbal, written, phone) skills * General working knowledge of policies, file procedures, state rules and regulations * Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster **Preferred:** * Prior claims experience * Ability to use on-line claims system * Bi-lingual a plus! **First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:** * Competitive Salaries * Flexible Work Schedules * On-Site or Remote or Hybrid Opportunities Available DEPENDING on the position * Commitment to your Training & Development * Medical and Dental * Telemedicine Benefit * 401k with a generous company match * Paid Time Off and Paid Holidays * Tuition Reimbursement Training Programs * Wellness Program * Fun company sponsored events * And so much more!
    $30k-51k yearly est. 26d ago
  • Auto Bodily Injury Claims Specialist- Oak Brook

    Warrior Insurance Network

    Claim Processor Job 6 miles from Melrose Park

    * Posted 17-Dec-2024 (CST) * Oak Brook, IL, USA * Salary * Full Time Email Me This Job **We are Growing!** **Claims office is NOW OPEN in Oak Brook!** We are Warrior Insurance Network! We have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that new Claims office in Oak Brook is OPEN! If you are an experienced **CLAIMS PROFESSIONAL** (with many years of auto and especially nonstandard auto related experience) we'll make sure you are **COMPENSATED AS A PROFESSIONAL!!** **We are seeking experienced Auto Bodily Injury Claims Specialist to join our new office in Oak Brook!** The Bodily Injury Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. **DUTIES & RESPONSIBILITIES:** * Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss * Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim * Process Bodily Injury, and coverage claims in accordance with established office procedures * Work closely with Third Parties, plaintiff counsel, Claim Director and Chief * Operating Officer to determine necessary injury and coverage investigation * Research case and statutory law in order to conduct proper claim investigation * Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims * Prepare and present claim evaluations for the appropriate settlement authority * Maintain reasonable expense factors * Handle other duties as assigned **QUALIFICATIONS REQUIRED:** * 3-5 Years in Casualty claims experience a MUST! * Knowledge of legal and medical terminology * Excellent negotiation, communication, written, organizational and interpersonal skills * Ability to pass written examinations where required by state statutes to become a licensed claims adjuster * Proficiency in Microsoft Office products **The Warrior Insurance Network's member companies offer a competitive benefits package to all full-time employees to include:** * Competitive Salaries * Flexible Work Schedules * Remote and Hybrid * Commitment to your Training & Development * Medical and Dental * Telemedicine Benefit * 401k with a generous company match * Paid Time Off and Paid Holidays * Tuition Reimbursement Training Programs * Wellness Program * Fun company sponsored events * And so much more! You must select a location. You must select an education status answer. You must select a seeking status answer.
    $30k-51k yearly est. 26d ago
  • Claims Specialist II, Excess BI and Property Damage

    Markel Corporation 4.8company rating

    Claim Processor Job 7 miles from Melrose Park

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the investigation and resolution of lower to medium complexity and lower to medium exposure claims. These claims will consist of non-litigated and litigated matters. Under general supervision, this position will be able to manage a full claim workload with minimal assistance and be responsible for making sound decisions within delegated authority. Adheres to Fair Claims Practices regulations as applicable in various states. Minimal travel required. * Analyzes coverage and communicates coverage positions * Conducts, coordinates, and directs investigation into loss facts and extent of damages * Confirms coverage of claims by reviewing policies and documents submitted in support of claims * Drafts coverage position letters * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure * Handles claims in all jurisdictions * Handles litigated and non-litigated property damage claims with values up to $250,000 * Handles non-litigated bodily injury claims with values up to $250,000 in all jurisdictions; * Handles smaller product liability and/or construction defect claims. * Identify losses which should be reported to SIU. * Participates in special projects or assists other team members as requested * Provides excellent and professional customer service to insureds while maintaining a high level of production. * Represents Markel in mediations, as required * Sets reserves within authority or makes recommendations concerning reserve changes to manager Education * Bachelor's degree or equivalent work experience Certification * Must have or be eligible to receive claims adjuster license * Successful completion of basic insurance courses or achievement of industry designation (INS, IEA, AIC, ARM, SCLA, CPCU) Work Experience * Minimum of 2-3 years experience in commercial construction or equivalent combination of education and experience * Knowledge of insurance industry or claims handling preferred. #LI-MM1 US Work Authorization * US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary for the Claims Specialist II is $61,857 - $76,230 with 20% bonus potential. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. * Markel offers hybrid working schedules of 3 days in the office and 2 days remote. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $61.9k-76.2k yearly Easy Apply 7d ago
  • Subrogation Claims Specialist

    Transdevna

    Claim Processor Job 8 miles from Melrose Park

    About Transdev: Cities, counties, airports, companies, and universities across the U.S. contract with Transdev to operate their transportation systems, maintain their vehicle and fleets, and deliver on mobility solutions. Transdev U.S. employs a team of 32,000 across 400 locations while maintaining more than 17,000 vehicles. Part of a global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team members from around the world. As an operator and global integrator of mobility, we are driven by our purpose. Transdev - the mobility company - empowers the freedom to move every day thank to safe, reliable, and innovative solutions that serve the common good. Find out more at ****************** or watch an overview video at******************* O5cv0G4mQ Overview of Position: The Subrogation Claims Specialist I is responsible for collecting subrogation dollars back from other responsible entities. This position requires excellent customer service skills along with efficient time management, flexibility, and the ability to work in a fast paced environment. The Subrogation Claims Specialist I will work dual roles including assisting the Risk and Insurance Analyst as needed. Salary Range $50,000-$62,000 annually Key Responsibilities: + Experience in subrogation + Experience in a customer service environment + Experience in negotiations preferred + Experience in report writing to produce analytical and technical reports to corporate and field levels + Manage WebRisk data entry for completeness and provide detailed reporting to the Local, Regional, and Corporate Levels + Work with TPA Claim Systems in order to provide data to Risk Management + Maintain Exposure database + Provide assistance on special projects and presentations + Produce additional reports as requested Other duties as required. Qualifications: Education, Licensing, and Certifications Required: College, university, or equivalent degree in Risk Management, Finance, Accounting, or related field required Experience: Field and years of experience required: + Minimum of 2 years of relevant experience or equivalent education/training. Preferred: + Experience in a transit environment preferred + Experience with RIMIS systems Skills and Knowledge Required: + This position requires a basic understanding of subrogation management and the claims handling process; + Candidate must have working knowledge and be proficient with Microsoft Excel, PowerPoint and Word; + The ability to maintain deadlines and timeframes dictated by financial reporting requirements; + To work within and extract information from the Claims systems of the TPA; + The ability to work independently; + The ability to be flexible to meet the daily challenges. Pre-Employment Requirements: Must submit to a drug test and background check Physical Requirements: + 100% of work is accomplished indoors and in air conditioned or well ventilated facilities + Travel
    $50k-62k yearly 10d ago
  • Subrogation Claims Specialist

    Fox Careers 3.6company rating

    Claim Processor Job 8 miles from Melrose Park

    Description About Transdev: Cities, counties, airports, companies, and universities across the U.S. contract with Transdev to operate their transportation systems, maintain their vehicle and fleets, and deliver on mobility solutions. Transdev U.S. employs a team of 32,000 across 400 locations while maintaining more than 17,000 vehicles. Part of a global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team members from around the world. As an operator and global integrator of mobility, we are driven by our purpose. Transdev - the mobility company - empowers the freedom to move every day thank to safe, reliable, and innovative solutions that serve the common good. Find out more at www.TransdevNA.com or watch an overview video at https://youtu.be/il O5cv0G4mQ Overview of Position: The Subrogation Claims Specialist I is responsible for collecting subrogation dollars back from other responsible entities. This position requires excellent customer service skills along with efficient time management, flexibility, and the ability to work in a fast paced environment. The Subrogation Claims Specialist I will work dual roles including assisting the Risk and Insurance Analyst as needed. Salary Range $50,000-$62,000 annually Key Responsibilities: Experience in subrogation Experience in a customer service environment Experience in negotiations preferred Experience in report writing to produce analytical and technical reports to corporate and field levels Manage WebRisk data entry for completeness and provide detailed reporting to the Local, Regional, and Corporate Levels Work with TPA Claim Systems in order to provide data to Risk Management Maintain Exposure database Provide assistance on special projects and presentations Produce additional reports as requested Other duties as required. Qualifications: Education, Licensing, and Certifications Required: College, university, or equivalent degree in Risk Management, Finance, Accounting, or related field required Experience: Field and years of experience required: Minimum of 2 years of relevant experience or equivalent education/training. Preferred: Experience in a transit environment preferred Experience with RIMIS systems Skills and Knowledge Required: This position requires a basic understanding of subrogation management and the claims handling process; Candidate must have working knowledge and be proficient with Microsoft Excel, PowerPoint and Word; The ability to maintain deadlines and timeframes dictated by financial reporting requirements; To work within and extract information from the Claims systems of the TPA; The ability to work independently; The ability to be flexible to meet the daily challenges. Pre-Employment Requirements: Must submit to a drug test and background check Physical Requirements: 100% of work is accomplished indoors and in air conditioned or well ventilated facilities Travel Work is accomplished in an office or in a cubicle space equipped with a telephone and computer The employee is generally subjected to long periods spent sitting, typing, or looking at a computer screen For more information please visit our website at www.transdevna.com/careers The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request. Transdev is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, national origin, age, disability, veteran status, genetic data, gender identity, sexual orientation, religion or other legally protected status, or any other classification protected by federal, state, or local law. EEO is the Law Poster: http://www1.eeoc.gov/employers/poster.cfm Drug free workplace If based in the United States, applicants must be eligible to work in US without restrictions for any employer at any time; be able to pass a drug screen and background check California applicants: Please Click Here for CA Employee Privacy Policy
    $50k-62k yearly 8d ago
  • Claim Readiness Specialist

    Uropartners 4.0company rating

    Claim Processor Job 4 miles from Melrose Park

    Full-time Description The Claim Readiness Specialist is responsible for entering and importing charges and ensuring the appropriate billing codes on used for all charges. The Claim Readiness Specialist will ensure charges are entered accurately, efficiently, and timely into the practice management system. The Claim Readiness Specialist is also responsible for resolving all assigned claim edits and submission of claims to third party payers within the clearinghouse/practice management system in a timely and efficient manner. They work with Coding and Revenue Integrity Supervisor to escalate charge entry and bill submission issues to prevent incorrect billing. This role reports to the Revenue Integrity Supervisor. Requirements ESSENTIAL JOB FUNCTION/COMPETENCIES Responsibilities include but are not limited to: Enters and import charges daily for all professionals ensuring accurate coding. Determines correct CPT codes for professional surgical procedures along with Evaluation and Management (E&M) clinical encounters. Also determines appropriate all ICD-10 diagnosis codes. Ensures all prior day's charges and edits have been accurately resolved and claim is ready to bill insurance in a timely manner. Identifies root cause issues causing charge edits and communicates these issues to leadership for upstream education. Communicates with Coders, Business Office staff and Providers when necessary to resolve errors and clarify issues. Stays accountable to quality and productivity standards, and monitor compliance with policies and procedures. Identifies process opportunity trends and recommend ways to improve efficiencies. Ensures adherence to third party and governmental regulations relating to coding, billing, documentation, compliance, and reimbursement. Participates in special projects, personal development training, and cross training as instructed. Informs Supervisor, Coding and Revenue Integrity of trends, inconsistencies, discrepancies for immediate resolution. Works in conjunction with peers and functional areas of the Coding and Revenue Integrity department for the betterment of completing tasks and the company overall. Job may require other duties as assigned. Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training. CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS Certified Professional Coder (CPC) preferred. KNOWLEDGE | SKILLS | ABILITIES Demonstrates and uses a strong working knowledge of CPT coding and ICD10 coding as it relates to urology services. Understands the utilization of modifiers and other billing and coding rules to include the AMA and other billing and coding organizations. Knowledge of medical terminology and consistent application of medical documentation requirements. Excellent verbal and written communication skills. Excellent organizational skills and attention to detail. Strong analytical and problem-solving skills. Skill in using computer programs and applications including Microsoft Office. Ability to work independently and manage deadlines. Ability to follow policies and procedures for compliance, medical billing, and coding. Ability to type and enter data with proficiency and accuracy. Proven ability to manage multiple projects at a time while paying strict attention to detail. Ability to successfully meet established timelines. Ability to operate essential office equipment, including multi-line phone, computer, fax machine, scanner, and photocopy machine. Complies with HIPAA regulations for patient confidentiality. Complies with all health and safety policies of the organization. EDUCATION REQUIREMENTS High School Diploma or equivalent required. EXPERIENCE REQUIREMENTS Minimum of three years revenue cycle experience within a physician practice. Experience in Urology or physician practice environment preferred. Minimum 2 years hands on coding and/or billing experience within a physician's office and/or successful completion of secondary education in medical coding/billing or medical administration, or urology experience. REQUIRED TRAVEL N/A PHYSICAL DEMANDS Carrying Weight Frequency 1-25 lbs. Frequent from 34% to 66% 26-50 lbs. Occasionally from 2% to 33% Pushing/Pulling Frequency 1-25 lbs. Seldom, up to 2% 100 + lbs. Seldom, up to 2% Lifting - Height, Weight Frequency Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33% Floor to Chest, 26-50 lbs. Seldom: up to 2% Floor to Waist, 1-25 lbs. Occasional: from 2% to 33% Floor to Waist, 26-50 lbs. Seldom: up to 2%
    $29k-34k yearly est. 8d ago
  • Warranty Claims Specialist

    Parts Town 3.4company rating

    Claim Processor Job 8 miles from Melrose Park

    at Parts Town Warranty Claims Specialist See What We're All About As the fastest-growing distributor of restaurant equipment, HVAC and residential appliance parts, we like to do things a little differently. First, you need to understand and demonstrate our Core Values with safety being your first priority. That's key. But we're also looking for unique enthusiasm, high integrity, courage to embrace changeā€¦and if you know a few jokes, that puts you on the top of our list! Do you have a genius-level knowledge of original equipment manufacturer parts? If not, no problem! We're more interested in passionate people with fresh ideas from different backgrounds. That's what keeps us at the top of our game. We're proud that our workplace has been recognized for its growth and innovation on the Inc. 5000 list 15 years in a row and the Crain's Fast 50 list ten times. We are honored to be voted by our Chicagoland team as a Chicago Tribune Top Workplace for the last four years. If you're ready to roll up your sleeves, go above and beyond and put your ambition to work, all while having some fun, let's chat - Apply Today Perks Parts Town Pride - check out our virtual tour and culture! Quarterly profit-sharing bonus Hybrid Work schedule Team member appreciation events and recognition programs Volunteer opportunities Monthly IT stipend Casual dress code On-demand pay options: Access your pay as you earn it, to cover unexpected or even everyday expenses All the traditional benefits like health insurance, 401k/401k match, employee assistance programs and time away - don't worry, we've got you covered. The Job at a Glance Our Warranty Claims Specialist (internally known as Warranty Wizards) support our customers and manufacturers by providing an exceptional customer experience throughout the entire warranty process. Working closely with the customer support team and Fulfillment Center, this specialist is responsible for ensuring all warranty claims are submitted promptly. If you're courageous and it's your destiny to become a Warranty Wizard, apply today! A Typical Day Working with customer support team, customers and Manufacturers on warranty process and transferring that information to a variety of different forms and portals for payment Generate account adjustments and warranty invoices in the company's ERP system (Syspro) Learn and comprehend defective part process to address customer and manufacturer questions Transfer tech service calls and corresponding invoice into warranty websites Interpret and process warranty and defective part documents Produce monthly Warranty spreadsheets in Excel Deliver exceptional customer service through phone calls and e-mails to internal teams, our customers, and our manufacturer partners To Land This Opportunity You have experience using Excel, Esker, Sales Force and Syspro You possess stellar customer service, high attention to detail, data entry, and organizational skills You enjoy working independently to achieve weekly and monthly deadlines You have strong data entry, communication, and interpersonal skills About Your Future Team As an important part of our culture, we take huge pride in having fun. At Parts Town we are passionate about celebrating anniversaries, enjoy team lunches, giving appreciation, a memorable first day warm welcome, decorate desks and most importantly, we love to spice it up by playing our teams playlists!
    $29k-44k yearly est. 5d ago
  • Claims Specialist II

    Markel Corporation 4.8company rating

    Claim Processor Job 10 miles from Melrose Park

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the investigation and resolution of lower to medium complexity and lower to medium exposure claims. These claims will consist of non-litigated and litigated matters. Under general supervision, this position will be able to manage a full claim workload with minimal assistance and be responsible for making sound decisions within delegated authority. Adheres to Fair Claims Practices regulations as applicable in various states. Minimal travel required. Responsibilities * Analyzes coverage and communicates coverage positions * Conducts, coordinates, and directs investigation into loss facts and extent of damages * Confirms coverage of claims by reviewing policies and documents submitted in support of claims * Drafts coverage position letters * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure * Handles claims in all jurisdictions * Handles litigated and non-litigated property damage claims with values up to $250,000 * Handles non-litigated bodily injury claims with values up to $250,000 in all jurisdictions; * Handles smaller product liability and/or construction defect claims. * Identify losses which should be reported to SIU. * Participates in special projects or assists other team members as requested * Provides excellent and professional customer service to insureds while maintaining a high level of production. * Represents Markel in mediations, as required * Sets reserves within authority or makes recommendations concerning reserve changes to manager Education * Bachelor's degree or equivalent work experience Certification * Adjusters' license or legal license in at least one jurisdiction Work Experience * Minimum 5 years of claims handling (or equivalent work) experience Skill Sets * Excellent written and oral communication skills * Strong analytical and problem solving skills * Strong organizational and time management skills * Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point Word) * Ability to work in a team environment * Strong desire for continuous improvement US Work Authorization * US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. * Markel offers hybrid working schedules of 3 days in the office and 2 days remote. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $38k-54k yearly est. Easy Apply 58d ago

Learn More About Claim Processor Jobs

How much does a Claim Processor earn in Melrose Park, IL?

The average claim processor in Melrose Park, IL earns between $22,000 and $55,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average Claim Processor Salary In Melrose Park, IL

$35,000

What are the biggest employers of Claim Processors in Melrose Park, IL?

The biggest employers of Claim Processors in Melrose Park, IL are:
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